Routine inspection·August 20, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Co-Administrator Julieta Santiago and explained the reason for the visit. Michael Milo's Administrator's Certificate expires on September 6, 2025. Facility is licensed for 6 non-ambulatory residents with a hospice waiver for 2 residents. 2 residents are currently on hospice. LPA and the Co-Administrator toured the facility. Facility is a single story home with 6 bedrooms, 1 staff room, 4 bathrooms, living room, family room with a screened fireplace, dining room, kitchen and a 2 car garage. Smoke detectors/carbon monoxide detectors tested operational. LPA observed the PUB 475, See Something, Say Something was not posted but was leaning on entrance wall. LPA observed all resident rooms have the required furnishings and bed linens. LPA observed the fire extinguisher in the kitchen is fully charged. There is a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. Knives are kept locked in a kitchen drawer. Medications are kept locked in a kitchen cabinet. LPA inspected the first aid kit. The first aid kit has all the required elements. All 4 bathrooms are clean and operational. Hot water measured from 108.2 to 109.0 degrees Fahrenheit in all bathrooms. LPA toured the garage. The garage is kept locked and used for storage. LPA observed emergency food and water, tools and supplies in the garage. LPA toured the backyard. LPA observed ladders, dirt and rocks on the side of the North side of house which creates an obstacle leading to the exit gate to the front of the house. The Co-Administrator reported that the side of the house is having the stucco repaired and the process has not been completed. LPA observed a fountain in the backyard. There is a pergola with chairs and a table to sit outside. There is a walkway on the South side of the house leading to the front courtyard. In the front courtyard there is a shaded patio and a fountain. LPA reviewed 5 resident files. 3 out of 5 residents did not have a current Appraisal/Needs and Service Plan. LPA reviewed 5 resident medications, no discrepancies observed. LPA reviewed 2 staff files, no discrepancies observed. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Co-Administrator Julieta Santiago refused to sign the report (LIC 809 & LIC 809D) including the deficiency page (LIC 809D) per advise from her attorney. An exit interview was conducted and a copy of the report along with appeal rights was provided.